Surrender a Cat - Heronbank Cat Rescue

Name

First Last

Address*

House Number/Name and Street Address Line 2 Town/City Region Postcode

Phone Number*

Email

Is this cat(s) stray/feral?*

(If you have more than one stray or feral to surrender please add their details in the "Additional Information" box at the bottom of the page)

yes
no

How many cats would you like to surrender?*

(If more than 4 cats, please submit another form)

Please enter a number from 1 to 4.

Cat 1: Name*

Hidden

Cat 1: Age*

Cat 1: Colour*

Cat 1: Gender*

Male
Female
Unknown

Cat 1: Is the cat vaccinated?*

Yes
No

Cat 1: Date of last vaccination*

Please provide accurate information to avoid overdoses

Cat 1: Is the cat flea treated?*

Yes
No

Cat 1: Date of last flea treatment*

Flea treatment overdoses can be fatal. Please provide accurate details to help us avoid this happening.

Cat 1: Flea treatment brand*

Flea treatment overdoses can be fatal. Please state the brand used and whether it is a spot on treatment, tablet, collar, etc.

Cat 1: Is the cat wormed?*

Yes
No

Cat 1: Date of last worm treatment*

Intestinal parasites are very common and can cause cats to become ill. Please provide accurate information to help us to provide the best care for your cat.

Cat 1: Worming product brand*

We will use this information to prevent overdoses. Please state the brand used and whether it is a spot on treatment, tablet, granules, liquid, etc.

Cat 1: Is the cat neutered/spayed?*

Cat 1: Is the cat microchipped?*

Please write the microchip number if you know it (this should be on the cats vaccination record card or listed with your vet)

Cat 1: What is the cat like with other cats?*

Cat 1: What is the cat like with dogs?*

Cat 1: What is the cat like with children?*

Cat 1: What is the cat like with adults?*

Cat 1: What is the cat like with strangers?*

Cat 2: Name*

Cat 2: Age*

Hidden

Cat 2: Age*

Cat 2: Colour*

Cat 2: Gender*

Male
Female

Hidden

Is Cat 2...*

Select All
Vaccinated
Neutered
Microchipped
None of the above

Cat 2: Is the cat vaccinated?*

Yes
No

Cat 2: Date of last vaccination*

Please provide accurate information to avoid overdosing.

Cat 2: Is the cat flea treated?*

Yes
Yes, the details are the same as cat 1
No

Cat 2: Date of last flea treatment*

Flea treatment overdoses can be fatal. Please provide accurate details to help us avoid this happening.

Cat 2: Flea treatment brand*

Flea treatment overdoses can be fatal. Please state the brand used and whether it is a spot on treatment, tablet, collar, etc.

Cat 2: Is the cat wormed?*

Yes
Yes, the details are the same as cat 1
No

Cat 2: Date of last worm treatment*

Intestinal parasites are very common and can cause cats to become ill. Please provide accurate information to help us to provide the best care for your cat.

Cat 2: Worming product brand*

We will use this information to prevent overdoses. Please state the brand used and whether it is a spot on treatment, tablet, granules, liquid, etc.

Cat 2: Is the cat neutered/spayed?*

Cat 2: Is the cat microchipped?*

Please write the microchip number if you know it (this should be on the cats vaccination record card or listed with your vet)

Cat 2: What is the cat like with other cats?*

Cat 2: What is the cat like with dogs?*

Cat 2: What is the cat like with children?*

Cat 2: What is the cat like with adults?*

Cat 2: What is the cat like with strangers?*

Cat 3: Name*

Cat 3: Age*

Hidden

Cat 3: Age*

Cat 3: Colour*

Cat 3: Gender*

Male
Female

Hidden

Is Cat 3...*

Select All
Vaccinated
Neutered
Microchipped
None of the above

Cat 3: Is the cat vaccinated?*

Yes
No

Cat 3: Date of last vaccination*

Please provide accurate information to avoid overdosing.

Cat 3: Is the cat flea treated?*

Yes
Yes, the details are the same as cat 1
No

Cat 3: Date of last flea treatment*

Flea treatment overdoses can be fatal. Please provide accurate details to help us avoid this happening.

Cat 3: Flea treatment brand*

Flea treatment overdoses can be fatal. Please state the brand used and whether it is a spot on treatment, tablet, collar, etc.

Cat 3: Is the cat wormed?*

Yes
Yes, the details are the same as cat 1
No

Cat 3: Date of last worm treatment*

Intestinal parasites are very common and can cause cats to become ill. Please provide accurate information to help us to provide the best care for your cat.

Cat 3: Worming product brand*

We will use this information to prevent overdoses. Please state the brand used and whether it is a spot on treatment, tablet, granules, liquid, etc.

Cat 3: Is the cat neutered/spayed?*

Cat 3: Is the cat microchipped?*

Please write the microchip number if you know it (this should be on the cats vaccination record card or listed with your vet)

Cat 3: What is the cat like with other cats?*

Cat 3: What is the cat like with dogs?*

Cat 3: What is the cat like with children?*

Cat 3: What is the cat like with adults?*

Cat 3: What is the cat like with strangers?*

Cat 4: Name*

Cat 4: Age*

Hidden

Cat 4: Age*

Cat 4: Colour*

Cat 4: Gender*

Male
Female

Hidden

Is the cat*

Select All
Vaccinated
Neutered
Microchipped

Cat 4: Is the cat vaccinated?*

Yes
No

Cat 4: Date of last vaccination*

Please provide accurate information to avoid overdosing.

Cat 4: Is the cat flea treated?*

Yes
Yes, the details are the same as cat 1
No

Cat 4: Date of last flea treatment*

Flea treatment overdoses can be fatal. Please provide accurate details to help us avoid this happening.

Cat 4: Flea treatment brand*

Flea treatment overdoses can be fatal. Please state the brand used and whether it is a spot on treatment, tablet, collar, etc.

Cat 4: Is the cat wormed?*

Yes
Yes, the details are the same as cat 1
No

Cat 4: Date of last worm treatment*

Intestinal parasites are very common and can cause cats to become ill. Please provide accurate information to help us to provide the best care for your cat.

Cat 4: Worming product brand*

We will use this information to prevent overdoses. Please state the brand used and whether it is a spot on treatment, tablet, granules, liquid, etc.

Cat 4: Is the cat neutered/spayed?*

Cat 4: Is the cat microchipped?*

Please write the microchip number if you know it (this should be on the cats vaccination record card or listed with your vet)

Cat 4: What is the cat like with other cats?*

Cat 4: What is the cat like with dogs?*

Cat 4: What is the cat like with children?*

Cat 4: What is the cat like with adults?*

Cat 4: What is the cat like with strangers?*

Why you would like to surrender the cat(s)?*

Hidden

Is/are your cat(s) good with...

Select All
Cats
Dogs
Children

Registered Vet*

We may need to contact your registered vet to see their medical history. Please contact your vet and give permission for Donaldson's vet to access your cats records.

How did you hear about Heronbank?*

Does your cat have any illnesses or needs? (is so please describe) Are they on any medications or undergoing current vet treatment?*

In order to match your cat with the best fosterer and forever home we need to know all their details. Please give as much detail as possible.

Additional Information:*

Is there anything else we need to know?

Signature: Please sign below to confirm you would like to surrender your cat/ kitten into Heronbank’s care. If you decide you would like your cat/ kitten back and they are still in rescue then you will have to have a home check as with any other potential adopter and pay a donation of £100 for an adult (over 1 year of age) and £140 for a kitten (under 1 year of age).*

Signature: Please sign to say you have read and filled the form in to state that all above is to your true knowledge of the cat/kittens health and behaviour.*

Surrender Form